Live data from Hacker News

The FDA has officially declared a shortage of Adderall

text.npr.org

21–30 of 67 posts

Re: The FDA has officially declared a shortage of Adderall

#21
post #9

Quoted post unavailable.

Nerve pain is a fictional illness and SSRI/morphine/fentanyl is not medicine.

Depression is a fictional illness and antidepressants are not medicine.

Cancer is a fictional illness and chemo is not medicine.

You catch my drift? I am obviously not being serious. You are not the one who decides what is and isn't an illness. It is researchers, scientists and physicians. You have no idea what you are talking about.

Re: The FDA has officially declared a shortage of Adderall

#22
post #4

It’s affecting me pretty bad. There are a few root causes: telemedicine rapidly increasing prescriptions, the mentioned Teva production issues. But one of the main problems is that the DEA tries to project the amount of adderall that’s allowed to be made/imported per year, which makes it so companies can’t quickly scale up production or hold inventories to smooth over supply issues. IMO, the DEA should not have any i…

> Why should people who need medicine suffer just in case someone else might abuse it? This, in direct literal terms, was the argument made in favor of OxyContin.

And it's still the correct argument. One person abusing something isn't a reason to harm another. I really do feel for people that are dealing with opioid addiction issues. It's been something that's hit close to me as well. But the ridiculous levels of interference in proper medical treatment is a strong driver of the very addition problems its attempting to solve.

Getting proper pain management requires going to "pain specialists" which may or may not be pill mills since their entire business is now built on pain management rather than general medical care. Getting your medications is heavily restricted and complicated. You can't fill a script for more than a month. You can't fill more than 2-3 days before the date on the script. You can't stock up for a trip, and you can't even start the process of trying to get it early in a shortage situation. The fear of DEA / government means your normal providers won't touch it, and it means if you're dealing with a bad provider (say you wound up at a pill mill and you're trying to get out) other providers won't want to take you on. It means if you've been mis-managed, rather than trying to help you wean down, you're more likely to have a new provider cut you off cold turkey and then treat you as an addict when your withdrawl symptoms kick in. An uncomfortable number of addicts have the same basic history, of being put on pain meds for some reason or another and being cut off cold turkey by some other provider without consideration for their current dependency levels or their actual pain needs. And that doesn't even begin to get into how impossible it becomes to get proper help if you are an addict.

Addiction is an awful thing, and it's an issue that needs to be dealt with. Dealing with it by making it harder for non-addicts and addicts alike to get the help they need is not the answer.

Re: The FDA has officially declared a shortage of Adderall

#23
post #4

It’s affecting me pretty bad. There are a few root causes: telemedicine rapidly increasing prescriptions, the mentioned Teva production issues. But one of the main problems is that the DEA tries to project the amount of adderall that’s allowed to be made/imported per year, which makes it so companies can’t quickly scale up production or hold inventories to smooth over supply issues. IMO, the DEA should not have any i…

> Why should people who need medicine suffer just in case someone else might abuse it? This, in direct literal terms, was the argument made in favor of OxyContin.

And I still think it’s a good one. Someone who wants to get a Rx of painkillers specifically to abuse it themselves or sell it to other abusers isn’t what we should really care about too much about outside of getting them into rehab. Someone might be a drug seeker is not a good reason to let someone who isn’t suffer.

Accidentally getting someone who had no intention of abusing it addicted without recognizing it was/is the much bigger issue and availability doesn’t really help that.

Re: The FDA has officially declared a shortage of Adderall

#24
post #17
post #14

Earlier quoted context omitted.

This is an unfortunate point of view and is damaging to those legitimately suffering with issues related to ADHD and similar diagnoses. As a child I struggled with ADHD, it’s not a state of mind. It’s not a decision. It’s a chemical imbalance that make a child’s innate lack of self control, and poor ability to self regulate something as simple as idle movements, orders of magnitude more difficult. I’m not commenting…

> I’m not commenting on over/under diagnosing of ADHD, I’m commenting on a condition that some individuals legitimately deal with. Some find themselves unable to focus on tasks, or get labeled the weird kid in their peer group because of behaviors they don’t even realize they’re doing. I'm of the opinion that there's nothing wrong with that. I lean more towards the acceptance side of things. Humans are diverse in man…

One could say the same about many conditions or qualities one might be born with, in fact many deaf people don’t consider their inability to hear as an impairment. There is a rich deaf culture and entire schools dedicated to deaf students.

However, that’s where you have to meet reality where it is, not where you want it to be. Mental illness typically begins not with the condition but when that condition impairs the individuals ability to operate within the parameters of the society they are a member of. When the condition impairs their ability to meet their own definition of success or happiness.

My son was not happy with the way other kids treated him, it hurt me to see him hurt. My son was not happy in school, he thought the teacher was mean and didn’t like him because she wouldn’t give him enough time to finish his school work, and would force him to switch tasks with the rest of the class. My son was not happy that his older sister often didn’t want to play with him.

Was my son doing something wrong?

He just wanted to play, he wanted to run the fastest, bounce the ball the most, just go crazy. But sometimes the other kids wanted a break, sometimes they wanted rules to the game, sometimes they wanted him to stop. He could get so worked up he couldn’t just “stop”.

In school he understood all the material, it was easy for him, he could read better than most of his peers, critical thinking tasks were easy for him. However, focus and time management were completely out of his grasp. The teacher wasn’t mean, she just had more material to teach him, they had to move in to the next topic.

When he would get excited, that excitement would become intensity, that intensity would alienate him from his peers and sometimes from his older sister. His biggest advocate and ardent defender would want space away from him.

Maybe the paradigm is flawed, but sometimes a train without brakes is just a train without brakes.

Re: The FDA has officially declared a shortage of Adderall

#25
post #21
post #9

Quoted post unavailable.

Nerve pain is a fictional illness and SSRI/morphine/fentanyl is not medicine. Depression is a fictional illness and antidepressants are not medicine. Cancer is a fictional illness and chemo is not medicine. You catch my drift? I am obviously not being serious. You are not the one who decides what is and isn't an illness. It is researchers, scientists and physicians. You have no idea what you are talking about.

Except ADHD is not even a fictional illness because it’s not an illness at all, it’s a disorder, it’s right there in the name.

To be the devils advocate, there have been plenty of researchers and psychotherapists in the recent decades lamenting ADHD as too broad a diagnosis, and it has indeed been scrutinized on multiple occasions as a convenient way to sell prescriptions.

As someone diagnosed with ADHD, depression, and nerve pain, I’d take ADHD and depression over nerve pain any day, they’re not even in the same camp, and clearly not even in the same camp as cancer.

Re: The FDA has officially declared a shortage of Adderall

#26
post #13

Earlier quoted context omitted.

I consider it to be closer to common sense than a "bold statement". Amphetamine is a highly addictive drug with serious side effects. As a nation, we prosecute those who engage in the unlicensed manufacture of amphetamine and its analogs. As for ADHD, the man who first described the condition later confessed he fabricated the whole thing. >Comments should get more thoughtful and substantive, not less, as a topic gets…

> As for ADHD, the man who first described the condition later confessed he fabricated the whole thing. What is that man's name?

Dr. Leon Eisenberg

Re: The FDA has officially declared a shortage of Adderall

#27
post #17
post #14

Earlier quoted context omitted.

This is an unfortunate point of view and is damaging to those legitimately suffering with issues related to ADHD and similar diagnoses. As a child I struggled with ADHD, it’s not a state of mind. It’s not a decision. It’s a chemical imbalance that make a child’s innate lack of self control, and poor ability to self regulate something as simple as idle movements, orders of magnitude more difficult. I’m not commenting…

> I’m not commenting on over/under diagnosing of ADHD, I’m commenting on a condition that some individuals legitimately deal with. Some find themselves unable to focus on tasks, or get labeled the weird kid in their peer group because of behaviors they don’t even realize they’re doing. I'm of the opinion that there's nothing wrong with that. I lean more towards the acceptance side of things. Humans are diverse in man…

Since you edited your comment while I was replying, I didn’t get to address your second paragraph.

You’re right, normies don’t run the world. Be different, be you, don’t let others tell you what to like or what not to like. I have told my children this and they know they have my unconditional support and acceptance. But don’t expect acceptance from everyone, our society is not so enlightened. Especially not children. Kids want to be liked, they want to be loved, they want the acceptance of their peers and those that they admire or look up to. Children can also be cruel to one another, not intentionally, they often have a lack of matured empathy. You have to be able to choose your battles.

It’s not about making him normal, it’s about giving him the tools to be who he wants to be. It’s about giving him the control he otherwise lacks.

Re: The FDA has officially declared a shortage of Adderall

#28

I’m kind of surprised by this. I thought a lot of folks switched over to Vyvanse over the past decade.

Vyvanse is definitely better than Adderall, but it can be annoying to get insurance on board.

Also, is there an instant release Vyvanse? I thought it was just extended release.

Re: The FDA has officially declared a shortage of Adderall

#29
post #19

I’m kind of surprised by this. I thought a lot of folks switched over to Vyvanse over the past decade.

And if you also have depression and anxiety I’ve seen a few doctors use Wellbutrin.

That’s wild. I would be very concerned if my psychiatrist treated all phenylethylamines as interchangeable. I guess people have to make do with what is available though.

Re: The FDA has officially declared a shortage of Adderall

#30
post #21

Earlier quoted context omitted.

Nerve pain is a fictional illness and SSRI/morphine/fentanyl is not medicine. Depression is a fictional illness and antidepressants are not medicine. Cancer is a fictional illness and chemo is not medicine. You catch my drift? I am obviously not being serious. You are not the one who decides what is and isn't an illness. It is researchers, scientists and physicians. You have no idea what you are talking about.

Except ADHD is not even a fictional illness because it’s not an illness at all, it’s a disorder, it’s right there in the name. To be the devils advocate, there have been plenty of researchers and psychotherapists in the recent decades lamenting ADHD as too broad a diagnosis, and it has indeed been scrutinized on multiple occasions as a convenient way to sell prescriptions. As someone diagnosed with ADHD, depression,…

A disorder is a type of illness, in the same way scotch or bourbon are types of whiskey.
Post reply on HN